A child is playing in the playroom. The nurse needs to take a blood pressure on the child. Which is the appropriate procedure for obtaining the blood pressure?
a. Take the blood pressure in the playroom.
b. Ask the child to come to the exam room to obtain the blood pressure.
c. Ask the child to return to his or her room for the blood pressure, then escort the child back to the playroom.
d. Document that the blood pressure was not obtained because the child was in the playroom.
ANS: C
The playroom is a safe haven for children, free from medical or nursing procedures. The child can be returned to his or her room for the blood pressure and then escorted back to the playroom. The exam room is reserved for painful procedures that should not be performed in the child's hospital bed. Documenting that the blood pressure was not obtained because the child was in the playroom is inappropriate.
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